Learning Goal: I’m working on a nursing discussion question and need the explanation and answer to help me learn.

CASE SCENARIO

A Nurse Managers Role in Resolving Conflict

Situation

As the nurse manager of a 30-bed surgical unit, AM facilitates the units daily interdisciplinary rounds (IDR) during which multiple disciplines convene to collaborate and discuss effective treatment interventions and discharge plans for each patient. The IDR participants include the unit nurses, physicians, physical therapist, dietician, and care coordinator. During the discussion of a specific patient who for the last couple of days has been having breakthrough postoperative pain, the primary nurse suggests increasing the dose of the patients pain medication or treating the patient with an additional pain medication because the patients current pain medication, Percocet, has not been controlling the patients pain throughout the day. This is the second shift the primary nurse has cared for the patient; thus, the nurse has witnessed the patients breakthrough pain on more than one occasion. The physician disagrees with the primary nurses suggestion and indicates the current pain management regimen should be more than enough to control the patients pain. The physician refuses to add another pain medication to the patients treatment plan and requests moving on to discuss the next patient. What should AM do as the facilitator of the IDR meeting?

Approach

Having been a nurse manager for over 10 years, AM has facilitated many IDR meetings and experienced all types of conflict situations in the work environment. Fortunately, AM is well-versed in various styles of conflict management and has implemented different styles to resolve conflict, depending on the situation. In this particular example, the unit IDR meeting is running over on time, with more than half of the patients still requiring discussion. As such, AM has decided to utilize the compromising style of conflict management that seeks to find a middle ground between involved parties.

Outcome

To resolve most conflicts, AM typically prefers utilizing the collaborating style of conflict management that focuses on having all participants provide their perspectives on the situation to come up with a mutual resolution. Nonetheless, as time is not permitting, AM decides to employ the compromising style to facilitate IDR flow. AM interjects the conversation, reiterates the patients more than one instance of breakthrough pain, and suggests the physician reassess the patients pain status after IDR. The decision to either increase the patients pain medication dosage or add another pain reliever to treat the patients breakthrough pain can be determined after patient reassessment.

Discussion Questions (the first question is in relation to the above Case scenario; the other two are not)

1. What type of conflict best describes the listed situation? Name another conflict management style AM could have utilized to manage the situation. List three healthcare-related consequences that could occur from poorly managed conflicts

2 Why is it important for nurse leaders to develop health data literacy?

3 Discuss application of complexity leadership and the contributing influence on quality and safety. Describe what factors most influence spread, sustain, and scale and how you might modify those factors as they relate to quality and safety.

Only ONE Peer response required for this week’s discussion question

Please be sure to adhere to the following when posting your weekly discussions:

1. Students are to write their name and the appropriate discussion number/discussion title in the title bar for each discussion. For example Discussion 1: Micheal Cabrera or Discussion 3: Sheila Smith. This is important in identifying that students are submitting original posts as well as response posts as required.

2. Students are to submit their discussions directly onto Blackboard Discussion Board. Attachments submitted as discussion board posts will not be graded.

3. As a reminder, all initial discussion posts must be minimum 250 words, references must be cited in APA format 7th Edition, and must include minimum of 2 scholarly resources published within the past 5-7 years (not part of the classroom coursework). ONE peer response per discussion question is required.